Unilateral mandibular condylar process fractures: a retrospective clinical comparison of open versus closed treatment

Stypulkowski, Renata Porto; Santos, Aline Gama; Silva, Elvidio de Paula e; Moraes, Cícero; Rosa, Everton Luís Santos da

doi:10.1007/s10006-019-00760-7

Cited by 6 publications

(4 citation statements)

References 24 publications

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“…[ 13 ] Plating of condylar fractures allow patients to have immediate mobilization, better oral hygiene, improved nutrition and normal speech. [ 14 ] This modality of treatment is gaining popularity in recent times owing to the immense development in the field of surgical instruments, endoscopes and expertise which helped to reduce the complications and give better stable results.…”

Section: Discussionmentioning

confidence: 99%

Comparative evaluation of post treatment CT scan and clinical parameters in open reduction and closed reduction treatment of condylar fractures

Jose,

Dandagi,

Chour

et al. 2023

National Journal of Maxillofacial Surgery

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Background: Mandibular fracture is the second most common fracture of facial bone, next to nasal bone. Twenty-five to forty percent of mandibular fractures involve the condyle. In the literature, there exists no consensus “gold standard” treatment for mandibular condylar fractures, and there is a continuing debate on whether condylar fractures should undergo closed or open reduction. Materials and Method: Twenty patients who had undergone open reduction and closed reduction treatment were included in the study. Clinically maximal interincisal opening, laterotrusive and protrusive movements, pain on mouth opening, malocclusion, chin deviation on mouth opening, facial nerve palsy, hematoma, infected implant, and bite force were evaluated after a minimum of 3 months postoperatively. Also, a postoperative CT is done to evaluate the anatomical position of fragment. Results: On evaluation of clinical parameters, both groups had comparable results. However, none of the patients in open reduction group had deviation of mandible from midline on mouth opening. Also, better anatomical repositioning is obtained in open reduction group. Conclusion: The results of this study suggest that the open reduction method is a better alternative to closed reduction in treatment of mandibular condylar fractures.

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Section: Discussionmentioning

confidence: 99%

Comparative evaluation of post treatment CT scan and clinical parameters in open reduction and closed reduction treatment of condylar fractures

Jose,

Dandagi,

Chour

et al. 2023

National Journal of Maxillofacial Surgery

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“…However, there is no unanimous consensus regarding the treatment of condylar fractures either (12,13,14). Initially, immobilisation was claimed indispensable to provide fracture healing, remodelling of the bone and long-term relief of pain in patients with condylar fracture (3).…”

Section: Diagnosis Of Mandibular Condyle Traumamentioning

confidence: 99%

“…The main difference in the treatment result of ORIF vs. conservative treatment was the deviation of the mandible to the affected side when opening the mouth in conservatively treated patients with displaced proximal fragment, loss of vertical dimension and reduced bone regeneration capacity in adults (13,14). Marked remodelling was evident on computed tomograms but no complaints of temporomandibular joint function (55).…”

Section: Diagnosis Of Mandibular Condyle Traumamentioning

confidence: 99%

“…Many authors share the preference for the surgical treatment of articular fractures, but there are controversies as to the indication for osteosynthesis of non-dislocated fractures and some types of stable reduced fragments that may allow healing without osteosynthesis (10)(11)(12)(13). Osteosynthesis in the treatment of condylar fractures in children is still a matter of debate (13)(14)(15)(16)(17)(18)(19)(20). There is general agreement that it is mandatory to secure reduced mobility to the condylar region for a certain period of time (19) if the option of conservative fracture treatment has been chosen (20).…”

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confidence: 99%

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Preauricular Swelling Mimicking a Tumour: Dissolution of Mandibular Capitulum Following Trauma in a 15-Year Old Child

Friedrich

Kohlrusch

2020

In Vivo

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Aim: The report is about diagnosis, therapy, and follow-up of a 15-year old boy, who experienced facial swelling and impaired mouth opening after a sport accident. Case Report: Diagnosis of mandibular damage was delayed due to inadequate clinical investigation and radiography after trauma and only became clear after a parotid swelling occurred sometime later resulting from the dissolution of the upper part of the articular process. Follow-up control over a period of three years showed a partial restoration of the articular process but some inhibition of mouth opening combined with slight deviation of the mandible to the affected side remained over the years. Conclusion: This report reminds us that parotid swelling can be the result of mandibular trauma without a recent history of physical injury to this region. Therefore, the basic standards of radiologic diagnosis should be maintained and the limited restoring capacity of the condylar process in adolescence should be acknowledged.

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Comparative Evaluation of Open Reduction with Internal Fixation Against Closed Reduction Methods for Condylar Fracture Management: A Systematic Review and Meta- analysis

Shobha,

Nainoor,

Prashanth

et al. 2024

J. Maxillofac. Oral Surg.

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Unilateral mandibular condylar process fractures: a retrospective clinical comparison of open versus closed treatment

Cited by 6 publications

References 24 publications

Comparative evaluation of post treatment CT scan and clinical parameters in open reduction and closed reduction treatment of condylar fractures

Comparative evaluation of post treatment CT scan and clinical parameters in open reduction and closed reduction treatment of condylar fractures

Preauricular Swelling Mimicking a Tumour: Dissolution of Mandibular Capitulum Following Trauma in a 15-Year Old Child

Comparative Evaluation of Open Reduction with Internal Fixation Against Closed Reduction Methods for Condylar Fracture Management: A Systematic Review and Meta- analysis

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